Hagen Chapter 43 Flashcards
Which one of the following is an infection in the fallopian tube? Select one: a. Parametritis b. Oophoritis c. Pyosalpinx d. Salpingitis
d. salpingitis
Perihepatic inflammation ascending from a pelvic infection is called \_\_\_\_\_\_\_\_\_\_\_\_ syndrome. Select one: a. Stein-Leventhal b. Fritz-Hugh-Curtis c. Turner d. de Quervain
b. Fritz-Hugh-Curtis
Enlarged ovaries with multiple cysts and indistinct margins describe which one of the following conditions? Select one: a. Peri-ovarian inflammation b. Tubo-ovarian complex c. Para-ovarian inflammation d. Oophoritis
a. Peri-ovarian inflammation
Which one of the following is an infection within the uterine serosa and broad ligaments? Select one: a. PID b. Parametritis c. Myometritis d. Peri-ovarian inflammation
b. Parametritis
An infection that involves the fallopian tube and the ovary is called which one of the following conditions? Select one: a. Pelvic inflammatory disease b. Tubo-ovarian abscess (TOA) c. Pyosalpinx d. Salpingitis
b. Tubo-ovarian abscess (TOA)
Sonographic findings of PID include all of the following except: Select one: a. Endometritis b. Endometriosis c. Peri-ovarian inflammation d. Salpingitis
b. Endometriosis
A complex adnexal mass most likely represents which one of the following? Select one: a. Salpingitis b. Hydrosalpinx c. Oophoritis d. Pyosalpinx
d. pyosalpinx
The differential considerations of PID may include all of the following except: Select one: a. Dermoid b. Endometriosis c. Serous cystadenoma d. Ovarian neoplasm
c. Serous cystadenoma
Inflammation of the serous membrane lining the abdominal cavity and covering the viscera is which one of the following? Select one: a. Periangitis b. Omentitis c. Peritonitis d. Retroperitonitis
c. Peritonitis
Clinical symptoms of PID may include which one of the following? Select one: a. Fever b. Dull pelvic aching c. No symptoms d. Fever and dull pelvic aching
d. Fever and dull pelvic aching
A 25-year-old woman complains of painful menstrual cycles and infertility. Transabdominal and transvaginal images demonstrate a hypoechoic well-defined adnexal mass. Normal ovaries are seen bilaterally. This sonographic appearance most likely represents which one of the following? Select one: a. A tubo-ovarian abscess b. Para-ovarian cyst c. Endometrioma d. Hemorrhagic corpus luteum cyst
c. Endometrioma
The differential considerations of a solid-appearing adnexal mass include all of the following except: Select one: a. Endometrioma b. Hemorrhagic cyst c. Hydrosalpinx d. Pedunculated uterine fibroid
c. Hydrosalpinx
Which one of the following statements about the fallopian tube is false?
Select one:
a. The normal lumen is not usually visualized.
b. Detection is easier if fluid or pus is in the tube.
c. The tube is best seen transabdominally.
d. Ascites is helpful to outline the tube.
c. The tube is best seen transabdominally.
Early in the disease, the clinical presentation of both PID and endometriosis may mimic which one of the following? Select one: a. Para-ovarian cyst b. Subserosal fibroid c. Functional bowel disease d. Adenomyosis
c. Functional bowel disease
PID is an inclusive term that refers to all of the following pelvic infections except: Select one: a. Oophoritis b. Endometriosis c. Parametritis d. Myometritis
b. Endometriosis
Risk factors in pelvic inflammatory disease (PID) include all of the following except: Select one: a. Early sexual contact b. Single sexual partner c. Sexually transmitted disease d. Intrauterine contraceptive device
b. Single sexual partner
A pelvic abscess is will likely appear as which one of the following?
Select one:
a. Complex cul-de-sac mass that distorts the pelvic anatomy
b. Hypoechoic adnexal mass with a separate normal ovary
c. Complex ovarian mass with anechoic cul-de-sac fluid
d. Hypoechoic cul-de-sac mass
a. Complex cul-de-sac mass that distorts the pelvic anatomy
An asymptomatic 32-year-old woman is diagnosed with a left adnexal mass on physical examination. A history of PID has been reported. Transabdominal and transvaginal images demonstrate an anechoic tubular structure in the left lower quadrant. This finding most likely represents which one of the following? Select one: a. Iliac vessels b. Hydrosalpinx c. Theca-lutein cysts d. Ectopic pregnancy
b. Hydrosalpinx
Which one of the following is the most common cause of PID? Select one: a. Intrauterine devices b. Sexually transmitted diseases c. Postsurgical complications d. Endometritis
b. Sexually transmitted diseases
Sexually transmitted PID is spread via which one of the following? Select one: a. Bloodstream b. Mucosa c. Serosa d. Fallopian tubes
b. Mucosa
Which one of the following statements about PID is false?
Select one:
a. PID is almost always a bilateral collection of pus and fluid.
b. Patients may experience pelvic pain and have a history of infertility.
c. PID includes vaginal discharge with bleeding.
d. PID confers a decreased risk of ectopic pregnancy.
d. PID confers a decreased risk of ectopic pregnancy.
Fusion of the inflamed dilated tube and ovary is called which one of the following? Select one: a. A tuboovarian abscess b. Pyosalpinx c. Pelvic inflammatory disease d. Tubo-ovarian complex
d. Tubo-ovarian complex
A 24-year-old woman has a fever, vaginal discharge, and intense pelvic pain. Transabdominal and transvaginal images demonstrate a complex multiloculated irregular mass in the pouch of Douglas. This clinical presentation most likely represents which one of the following? Select one: a. Ovarian torsion b. A tuboovarian abscess c. Degenerating pedunculated fibroid d. Endometrioma
b. A tuboovarian abscess
Which one of the following statements about interventional pelvic sonography is true? Select one: a. Is not a valuable diagnostic tool. b. Lacks a safe biopsy route. c. Decreases patient care. d. Decreases patient cost.
d. decreases patient cost
Which one of the following statements about diffuse endometriosis is false?
Select one:
a. It is the most common form of endometriosis.
b. Endometriosis is easily diagnosed by sonography.
c. Endometriosis leads to the disorganization of pelvic anatomy.
d. Its appearance is similar to PID
b. Endometriosis is easily diagnosed by sonography
